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FL #
Application Type
Code Version
Application Status
Comments
Archived
Product Manufacturer
Address/Phone Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
FL1654-R22
Revision
2017
Approved
POLYGLASS USA
150 Lyon Drive
Fernley, NV 89408
(570) 384-1230 Ext 242
jakins@polyglass.com
James Akins
jakins@polyglass.com
ST. LUCIE COUNTY BUILDING DIV SION
REVIEWED FOR COMPLIANCE
REVIEW gy 1d
DATE r v
PLANS AND PERMIT MUST BE KEPT ON JOB
SITE OR NO INSPECTION(S) WILL BE MADE
Maury Alpert
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
(912) 429-8610
MAIpert@polyglass.com
Ariel Lender
1111 W. Newport Center Drive
Deerfield Beach, FL 33442
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THESE PLANS AND ALL PROPOSED WORK
ARE SUBJECT TO ANY CORRECTIONS
REQUIRED BY FIELD INSPECTORS THAT
MAY BE NECESSARY IN ORDER TO
COMPLY WITH ALL APPLICABLE CODES.
CONCEALED FASTENERS OR ATTACHMENTS
ARE THE RESPONSIBILITY OF THE
CONTRACTOR OR RECORD
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1/11/2018
Florida Building Code Online
(954) 233-1230
ALender@polyglass.com
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
O Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who developed the Robert Nieminen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 10/06/2018
Validated By John W. Knezevich, PE
O Validation Checklist - Hardcopy Received
i
Certificate of Independence
Referenced Standard and Year
Equivalence of Product Standards
Certified By
Sections from the Code
ard)
Standard
ASTM D6162
ASTM D6163
ASTM D6164
ASTM D6222
ASTM D6509
FM 4470
FM 4474
UL 1897
Year
2008
2008
2011
2011
2009
2012
2011
2012
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1/11/2018
Product Approval Method
Date Submitted
Date Validated
Date Pending FBC Approval
Date Approved
Summary of Products
Florida Building Code Online
Method 1 Option D
09/14/2017
09/15/2017
09/22/2017
12/12/2017
FL #
Model, Number or Name
Description
1654.1
Polyglass SBS and APP Modified
SBS and APP modified bitumen roof systems
Bitumen Roof Systems
Limits of Use
Installation Instructions
Approved for use in HVHZ: No
FL1654 R22 II 2017 09 FINAL Al ER POLYGLASS MODBIT FL1654-
R22.pdf _
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Verified By: Robert Nieminen PE-59166 -
Design Pressure: +N/A/-622.5
Created by Independent Third Party: Yes "
Other: 1.) The design pressure in this application
Evaluation Reports
relates to one particular assembly over concrete
deck. Refer to the ER Appendix for other systems and
FL1654 R22 AE 2017 09 FINAL ER POLYGLASS MODBIT FL1654-
R22.pdf---`
deck types. 2.) Refer to ER, Section 5 for other -Limits-
`Created by Independent Third Party: Yes
of Use.
FE M
Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824
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Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic
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455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have
one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal
address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S.,
please click here .
Product Approval Accepts:
M ® eCR M
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